[33F] Experiencing bladder pain and associated symptoms

Patient Description

A 33-year-old female presents with several months of constant bladder pain, rated as 5/10, described as a persistent need to urinate. The patient also reports accompanying symptoms including blood in urine, urgency to pee, right side and back pain, and nausea. Additionally, the patient experiences pain after sexual intercourse. There is a notable past medical history of kidney stones first diagnosed in 2011. The patient is not currently on any medications and reports no known drug allergies.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Urinary Tract Infection (UTI): This is an infection in any part of your urinary system — your kidneys, bladder, ureters, and urethra. Most UTIs are caused by bacteria, but some are caused by viruses and fungi. UTIs are often associated with bladder pain, urgency to pee, and blood in the urine.

    • Treatment typically involves antibiotics to kill the bacteria causing the infection.
  • Kidney Stones: Given your past medical history, it's possible that kidney stones could be causing your symptoms. Kidney stones can cause severe pain in the sides and back, blood in the urine, and nausea.

    • Treatment can range from pain management and drinking lots of water to pass the stone, to medical procedures to remove or break up larger stones.
  • Interstitial Cystitis: This is a chronic condition causing bladder pressure, bladder pain and sometimes pelvic pain. The pain ranges from mild discomfort to severe.

    • Treatment typically involves medications to help control the symptoms.

What you can do

Please consult a doctor about your symptoms so that they can provide a formal assessment and order relevant tests if necessary. In the meantime, you can try the following to help manage your symptoms:

  1. Drink plenty of water to help flush out any potential bacteria or small stones.
  2. Avoid caffeine, alcohol, and spicy foods, which can irritate your bladder.
  3. Use a heating pad on your back or abdomen to help manage any pain.

What you should look out for

Reasons to seek immediate medical attention:

  • If your pain becomes severe or unbearable
  • If you develop a fever (temperature over >100.4°F) or chills
  • If you notice a significant increase in the amount of blood in your urine
  • If you start vomiting or if your nausea worsens

Remember, I'm an AI and not a doctor. You should seek care from a real health professional to receive a formal diagnosis and treatment if appropriate.

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1 yr ago

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People Also Ask


What are the common symptoms of a urinary tract infection (UTI)?

Common symptoms of a UTI include a strong, persistent urge to urinate, a burning sensation when urinating, passing frequent, small amounts of urine, cloudy or strong-smelling urine, and pelvic pain in women. Blood in the urine can also occur.


How can kidney stones be treated or managed?

Kidney stones can be managed by drinking plenty of water to help pass the stone, taking pain relievers, and sometimes using medications to help pass the stone. In more severe cases, medical procedures such as shock wave lithotripsy or surgery may be necessary to remove or break up larger stones.


What is interstitial cystitis and how is it treated?

Interstitial cystitis is a chronic condition characterized by bladder pressure, bladder pain, and sometimes pelvic pain. Treatment may include medications to relieve symptoms, physical therapy, bladder distention, nerve stimulation, and lifestyle changes such as diet modifications.


When should I seek immediate medical attention for bladder or kidney issues?

You should seek immediate medical attention if you experience severe or unbearable pain, develop a fever or chills, notice a significant increase in blood in your urine, or if you start vomiting or your nausea worsens.


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